Internal medicine billing & credentialing
From complex chronic patients to annual wellness visits, we code internal medicine the way it’s actually practiced, so your E/M levels hold up and your CCM and AWV revenue stops slipping through.
- Focus
- E/M, CCM, AWV, HCC
- Clean claims
- 95%+ first pass
- A/R
- Worked within 48 hrs
- Coding
- Certified, IM-experienced
Why internal medicine is different
Internal medicine lives and dies on E/M accuracy. One under-documented level across a full panel is thousands of dollars a month, and over-coding is an audit waiting to happen.
We code to the 2021 E/M guidelines on medical decision-making and time, protect problem visits with the right modifier 25, and make sure chronic care management, transitional care and annual wellness visits are captured instead of written off.
What our internal medicine billing covers
- E/M leveled correctly under 2021 MDM & time rules (99202–99215)
- Chronic Care Management (99490, 99439) set up and billed monthly
- Annual Wellness Visits (G0438/G0439) coded and tracked
- Transitional Care Management (99495/99496) after discharges
- Modifier 25 applied when a problem is handled at a preventive visit
- HCC / risk-adjustment capture so patient acuity is on record
Credentialing for internal medicine
We enroll your internists across Medicare, Medicaid and the commercial plans your patients actually carry, and keep it all current.
- Medicare (PECOS) & Medicaid enrollment for every provider
- Commercial payer paneling matched to your patient mix
- CAQH build, attestation & ongoing maintenance
- Revalidations and re-credentialing tracked before they lapse
- Group and solo enrollment, including new providers joining your panel
- Hospital and telehealth enrollments where your internists round or consult
What changes for these providers, step by step: see nurse practitioner credentialing.
Want internal medicine claims that actually pay the first time?
Send us a sample of your denials.
We’ll show you exactly where the money is leaking, free.